﻿<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="utf-8">
    <title>{REPORT_TITLE}</title>
    <link rel="stylesheet" href="{STYLE}?v=1,32." type="text/css" media="screen" />
</head>
<body>
    <div class="container-fluid">
        <div class="row-fluid">
            <div class="span9">
                <h2 class="central">
                    Goods Received Note</h2>
                <table class="summary">
                    <tbody>
                        <tr>
                            <td>
                                DELIVERY DATE:
                            </td>
                            <td>
                                {DELIVERY_DATE}
                            </td>
                            <td>
                                GRN No.:
                            </td>
                            <td style="color: Red;">
                                {GRN}
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2" class="underline-me">
                                VENDOR INFORMATION
                            </td>
                            <td colspan="2" class="underline-me">
                                INTERNAL INFORMATION
                            </td>
                        </tr>
                        <tr>
                            <td>
                                SUPPLIER
                            </td>
                            <td>
                                {SUPPLIER}
                            </td>
                            <td>
                                LOCATION
                            </td>
                            <td>
                                {LOCATION}
                            </td>
                        </tr>
                        <tr>
                            <td>
                                DN No:
                            </td>
                            <td>
                                {DNN}
                            </td>
                            <td>
                                OFFICE:
                            </td>
                            <td>
                                {OFFICE}
                            </td>
                        </tr>
                        <tr>
                            <td>
                                DRC/DDG OR No.:
                            </td>
                            <td>
                                {ORNO}
                            </td>
                            <td>
                                DRC/DDG PO No.:
                            </td>
                            <td>
                                {PONO}
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
            <div class="span3">
                <table>
                    <tbody>
                        <tr>
                            <td>
                                <img src="{LOGO1}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <img src="{LOGO2}" alt="" />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                DANISH REFUGEE COUNCIL<br />
                                Borgergade 10<br />
                                DK-1300 Copenhagen<br />
                                Denmark<br />
                            </td>
                        </tr>
                        <tr>
                            <td style="padding-top: 5px;">
                                COUNTRY OFFICE, UGANDA<br />
                                4688 Kalungi Road<br />
                                Muyenga, Kampala<br />
                            </td>
                        </tr>
                        <tr>
                            <td>
                                <a href="http://WWW.drc.dk">WWW.drc.dk</a><br />
                                <a href="http://WWW.danishdemininggroup.dk">www.danishdemininggroup.dk</a>
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table class="goods-detail">
                    <thead>
                        <tr>
                            <th style="width: 5%">
                            </th>
                            <th style="width: 25%">
                                Goods Description
                            </th>
                            <th>
                                Unit
                            </th>
                            <th>
                                Quantity Ordered
                            </th>
                            <th>
                                Quantity Delivered
                            </th>
                            <th>
                                Quantity Damaged
                            </th>
                            <th style="width: 25%">
                                Comments
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        {DETAILS}
                    </tbody>
                    <tfoot>
                        <tr>
                            <td colspan="7">
                                <strong>Additional Remarks:</strong><br />
                                {ADDITONALRMARKS}
                            </td>
                        </tr>
                    </tfoot>
                </table>
            </div>
        </div>
        <br />
        <div class="row-fluid">
            <div class="span12">
                <!--<table id='goods-condition'>
			<tbody>
			<tr>
			<td><input type="checkbox" />&nbsp;&nbsp; Goods Received/ Good Condition</td>
			<td><input type="checkbox" />&nbsp;&nbsp; Goods Received in Correct Qty.</td>
			<td><input type="checkbox" />&nbsp;&nbsp; Goods Received Damaged  </td>
			<td><input type="checkbox" />&nbsp;&nbsp; Shortfall in Qty.</td>
			</tr>
			</tbody></table>-->
                <table id="transporter">
                    <tbody>
                        <tr>
                            <td>
                                <strong>TRANSPORTER Delivered by (name) :</strong>
                            </td>
                            <td>
                                {TRANSPORTER_NAME}
                            </td>
                            <td>
                                <strong>Company</strong>
                            </td>
                            <td>
                                {TRANSPORTER_COMPANY}
                            </td>
                            <td>
                                <strong>No. Plate</strong>
                            </td>
                            <td>
                                {VEHICLE_PLATE}
                            </td>
                        </tr>
                        <tr>
                            <td>
                                and or<br />
                                <strong>Driver license/ID No.:</strong>
                            </td>
                            <td>
                                {DRIVER_ID}
                            </td>
                            <td>
                                <strong>Signature:</strong>
                            </td>
                            <td>
                                <sub>______________________________________</sub>
                            </td>
                            <td>
                                <strong>Date</strong>
                            </td>
                            <td>
                                {SIGNATURE_DATE}
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
        <div class="row-fluid">
            <div class="span12">
                <table id="receiver">
                    <tbody>
                        <tr>
                            <td>
                                <strong>DRC/DGG Received by (name) :</strong>
                            </td>
                            <td>
                                {RECEIVED_BY}
                            </td>
                            <td>
                                <strong>Title</strong>
                            </td>
                            <td colspan="3" align="left">
                                {TITLE}
                            </td>
                        </tr>
                        <tr>
                            <td colspan="2">
                                &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
                            </td>
                            <td>
                                <strong>Signature</strong>
                            </td>
                            <td>
                                <!--<img src="{SIGNATURE2}" alt="" style="max-width: 80px;" />-->
                                {SIGNATURE2}
                            </td>
                            <td>
                                <strong>Date</strong>
                            </td>
                            <td>
                                {SIGNATURE_DATE}
                            </td>
                        </tr>
                    </tbody>
                </table>
            </div>
        </div>
    </div>
</body>
</html>
